Top 90 Billing representative Jobs in Charlotte Nc

Lead Denial Management Specialist
Piedmont Plastic Surgery & Dermatology —Gastonia, NC
- From $25 an hour
- Full-time
- Background check
- Ability to walk for extended periods
- Microsoft Office
- Dental insurance
- 401(k)
Quick Apply
8d
Customer Support Service Representative (Medical Billing)- Hybrid Schedule
OrthoCarolina —Charlotte, NC
- Full-time
- Hybrid work
- Bachelor of Science
- Office
- Administrative experience
- Paid holidays
- Tuition reimbursement
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8d
Accounts Receivable Representative (Medical Billing) - Hybrid Schedule
OrthoCarolina —Charlotte, NC
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Tuition reimbursement
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Customer Support Service II
OrthoCarolina —Charlotte, NC
- Full-time
- Hybrid work
- High school diploma or GED
- Entry level
- Paid holidays
- Tuition reimbursement
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8d
Billing Specialist
Avante Health Solutions —Concord, NC
- $20 - $24 an hour
- Microsoft Outlook
- Basic math
- ERP systems
Quick Apply
Patient Accounts Representative
Carolina NeuroSurgery & Spine Associates —Charlotte, NC
- Full-time
- Customer service
- HIPAA
- Office
Quick Apply
6d
Customer Service Representative | SB Billing Support
Spectrum —Charlotte, NC
- Full-time
- English
- Office
- Residential
- Opportunities for advancement
8d
Customer Service Representative - Charlotte, NC - $22 - ONSITE ROLE
CCS —Charlotte, NC
- Weekends as needed
- Computer literacy
- High school diploma or GED
- Typing
- Paid holidays
- Health insurance
2h
Insurance Follow-up Representative
REACH Fertility PLLC —Charlotte, NC
- Weekends as needed
- Microsoft Word
- Microsoft Excel
- Research
- Paid parental leave
- Paid holidays
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Billing Specialist III (First 6 Months Onsite)
HORIZON EYE CARE —Charlotte, NC
- Full-time
- Medical office experience
- Research
- Mid-level
- Work from home
Quick Apply
Accounts Receivable Representative
OrthoCarolina —Charlotte, NC
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Tuition reimbursement
Quick Apply
6d
Accounts Receivable Billing Clerk
Blythe Construction Inc —Charlotte, NC
- 8 hour shift
- Office
- Administrative experience
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Customer Service Representative - Salvin Dental
Young Innovations —Charlotte, NC
- 8 hour shift
- Microsoft Outlook
- Ability to walk for extended periods
- Writing skills
- Paid holidays
- Disability insurance
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Customer Service Rep for Call Center
Waste Pro —Monroe, NC
- Computer literacy
- Residential
- Analysis skills
Quick Apply
Billing Specialist II
HORIZON EYE CARE —Charlotte, NC
- Full-time
- Remote
- Medical office experience
- Research
- Mid-level
- Work from home
Quick Apply
Medical Office Insurance Representative
Foot and Ankle Associates —Charlotte, NC
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid holidays
Quick Apply
Community Support Services Team Lead
FirstService Residential —Charlotte, NC
- $28 an hour
- Extended hours
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Wholesale Billing Specialist
Charlotte Consolidated Accounting Office - HIC —Charlotte, NC
- Weekends as needed
- Basic math
- Mid-level
- Office
Customer Service Representative
Mauser Packaging Solutions —Charlotte, NC
- Full-time
- Computer literacy
- Mid-level
- 1 year
Elvarex Customer Service Representative
Essity —Charlotte, NC
- Full-time
- Word processing
- HIPAA
- Mid-level
- Wellness program
- AD&D insurance

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Lead Denial Management Specialist

Piedmont Plastic Surgery & Dermatology -
Gastonia, NC

Quick Apply

Job Details

Full-time
From $25 an hour
8 days ago

Benefits

Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Appeals
Medical insurance appeals management
Organizational skills
Business Administration
Business
Associate's degree
Insurance claims appeal handling
Medical terminology

Full Job Description

Job Summary

The Lead Denial Management Specialist serves as the subject matter expert (SME) for denial management and complex revenue cycle operations. This position is responsible for leading denial resolution efforts, maximizing reimbursement, supporting revenue integrity initiatives, and improving revenue cycle performance through data analysis, education, and process improvement.

The Lead Denial Management Specialist partners with providers, operational leaders, coding, billing, clinical departments, and external revenue cycle vendors to identify denial trends, resolve complex reimbursement issues, improve workflows, and ensure compliance with payer requirements and regulatory guidelines. This individual serves as the primary escalation resource for challenging accounts while mentoring team members and promoting best practices across the organization.

ESSENTIAL FUNCTIONS:

Serve as the primary escalation point for complex insurance denials, reimbursement issues, payer disputes, and patient account concerns.
Investigate, analyze, and resolve denied, rejected, and underpaid claims while identifying root causes and implementing corrective actions.
Prepare, submit, and monitor first-level and advanced payer appeals in accordance with payer guidelines and timely filing requirements.
Review patient accounts, claim submissions, coding, documentation, and charge activity to ensure billing accuracy and maximize reimbursement.
Conduct comprehensive denial trend analyses and collaborate with operational, coding, clinical, and provider teams to reduce future denials.
Identify revenue integrity opportunities and recommend workflow improvements that enhance reimbursement and operational efficiency.
Serve as the subject matter expert on payer policies, reimbursement methodologies, contractual obligations, and denial management best practices.
Assist with payer negotiations related to non-contracted services, underpayments, and reimbursement discrepancies; escalate unresolved issues as appropriate.
Monitor denial inventory, aging accounts, and productivity to ensure timely resolution and compliance with organizational performance standards.
Develop and deliver education and training to providers, clinical staff, revenue cycle personnel, and new employees regarding denial prevention, documentation, billing requirements, and payer updates.
Collaborate with internal departments and external Revenue Cycle Management partners to improve workflows and resolve complex reimbursement challenges.
Review and interpret payer communications, policy updates, and reimbursement changes to ensure organizational compliance.
Monitor and analyze key revenue cycle performance indicators, including denial rates, appeal success rates, reimbursement trends, and collection performance.
Maintain accurate documentation of account activity and appeal actions within the practice management system.
Support departmental quality assurance initiatives through account audits and compliance reviews.
Participate in special projects, system implementations, payer initiatives, and process improvement efforts as assigned.
Perform other duties as assigned.

Requirements:

Education/Experience:

Minimum of three (3) years of progressively responsible experience in physician practice revenue cycle management, medical billing, or denial management.
Experience with payer appeals, reimbursement analysis, and revenue cycle operations required.
Experience with multi-specialty physician practices preferred

Preferred Qualifications

Associate or bachelor’s degree in healthcare administration, Business Administration, Finance, or related field.
Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR), or similar preferred certification.
Experience with ModMed, Epic, Athenahealth, or comparable physician practice management systems.
Experience supporting revenue cycle process improvement initiatives and operational performance reporting.

Knowledge, Skills and Abilities:

Knowledge: 3+ years ePM and EHR experience, ModMed knowledge preferred, Microsoft Office, mathematical calculations, understanding of billing requirements on claims and medical terminologies, general knowledge of healthcare insurer reimbursement systems, payer contracts and appeal rights and timely filing requirements of payers. Physician practice revenue cycle operations, insurance billing, reimbursement methodologies, and denial management
Abilities: Communicate effectively both in written and oral format about clinical information; work independently; exercise judgement and problem solving in investigating denied claims, build positive rapport with colleagues and work with all levels of the organization and third parties to resolves issues as needed
Skills: Excellent verbal, written and interpersonal communication; proficient in MS Office; excellent organization and time management, high attention to detail

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Constantly required to talk or hear. Frequently required to stand, walk, and sit; may sit for long durations of time. Frequent use of hands, fingers and arms. Occasionally needs to climb or balance, stoop, kneel, crouch, or crawl. Occasionally lift up to 20 pounds. Constantly required to see; review written material, computer screens & phones with the ability to adjust focus.

Pay: From $25.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Life insurance
Paid time off
Vision insurance

Education:

Associate (Required)

Experience:

physician practice revenue cycle management: 3 years (Required)
revenue cycle operation: 3 years (Required)

Ability to Commute:

Gastonia, NC 28054 (Required)

Work Location: In person

Quick Apply

Refine Your Search

billing representative jobs in charlotte nc

Lead Denial Management Specialist

Customer Support Service Representative (Medical Billing)- Hybrid Schedule

Accounts Receivable Representative (Medical Billing) - Hybrid Schedule

Customer Support Service II

Billing Specialist

Patient Accounts Representative

Customer Service Representative | SB Billing Support

Customer Service Representative - Charlotte, NC - $22 - ONSITE ROLE

Insurance Follow-up Representative

Billing Specialist III (First 6 Months Onsite)

Accounts Receivable Representative

Accounts Receivable Billing Clerk

Customer Service Representative - Salvin Dental

Customer Service Rep for Call Center

Billing Specialist II

Medical Office Insurance Representative

Community Support Services Team Lead

Wholesale Billing Specialist

Customer Service Representative

Elvarex Customer Service Representative

I want to receive the latest job alert for billing representative in charlotte nc

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